Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| F | E | C | T | I | Q | T | T | N | G | X | D | R | Z | V | Y | B | J | W | V |
| J | E | X | P | E | M | E | F | N | L | W | L | K | O | B | P | Y | T | I | D |
| G | C | G | D | C | N | M | A | N | U | F | A | C | T | U | R | E | R | G | L |
| O | I | E | E | D | X | A | Z | P | U | G | P | C | V | C | X | B | P | P | B |
| L | V | N | M | N | L | N | D | V | R | C | N | A | J | Z | D | A | K | F | T |
| D | R | E | A | A | E | - | K | P | F | Z | T | J | D | F | F | D | K | E | D |
| E | E | R | N | B | I | R | E | M | A | I | N | I | N | G | T | R | O | O | P |
| T | S | I | - | P | P | E | I | D | A | Y | - | S | U | P | P | L | Y | L | R |
| T | - | C | D | K | P | B | W | C | D | W | Z | M | A | T | E | Q | Q | S | E |
| I | F | - | N | C | P | I | W | X | - | N | F | Z | I | D | C | A | N | I | S |
| M | O | N | A | T | E | R | E | B | O | I | E | P | O | G | R | E | J | R | C |
| B | - | A | R | V | A | C | L | Q | D | A | N | C | N | O | F | N | H | E | R |
| U | E | M | B | F | P | S | N | S | B | C | - | D | V | K | D | L | Q | B | I |
| S | T | E | R | T | C | E | H | S | B | W | E | Z | I | G | J | P | N | M | B |
| - | A | U | U | W | S | R | F | B | A | P | V | R | F | C | F | K | Y | U | E |
| E | D | E | S | N | E | P | I | D | - | Y | T | I | T | N | A | U | Q | N | R |
| T | D | U | S | S | A | L | C | - | A | E | D | V | Y | W | L | T | Y | - | - |
| A | D | E | M | A | N | - | R | E | D | I | V | O | R | P | Q | J | O | X | I |
| D | C | E | G | A | S | S | E | M | - | N | O | I | T | C | E | J | E | R | D |
| N | J | O | X | E | D | O | C | - | N | O | I | T | C | E | J | E | R | X | D |
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